Jory MSN, APRN, CNM

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All Content by Jory

  1. Jory

    nursing policy on handling infant that is not bathed

    Jory replied to kms6417's topic in Ob/Gyn

    I think that is a little
  2. Jory

    nursing policy on handling infant that is not bathed

    Jory replied to kms6417's topic in Ob/Gyn

    You should, especially since there are documented cases of infants dying of infections stemming directly through the umbilical cord. If it rehydrated, it can bleed, if it can bleed, then it is a...
  3. Jory

    Narcotics ..so I got put on unpaid administrative leave today

    Jory replied to jbecerra's topic in General Nursing

    As another poster said...when it comes to narcs, it needs to be made a priority. Even if someone is coding, you tell the person that nobody can sign until the code is over. When someone signs for...
  4. Jory

    SUBUTEX

    Jory replied to trclilone's topic in Patient Medications

    Before anyone shoots this grandmother down, she isn't asking for medical advice. Congrats on the birth of your new grandson...I am so sorry for what he is going through. To be honest, the mother is...
  5. Jory

    Unprofessionalism in nursing school. Wrong to report it??

    Jory replied to nurse0811's topic in General Students

    They say that any organization is reflected on the core of it's leadership and since your instructors are untrustworthy bullies, that is why they tolerate the same in the students. I'll give you a...
  6. Jory

    Breastmilk for mouth care

    Jory replied to mlizhev's topic in NICU, Neonatal

    Yes, because it's not a feeding. You would still do oral care on a baby with NEC. You still do oral care even on an NPO baby. We use an oral care kit on our ventilator babies UNLESS breast milk is...
  7. Jory

    Listing license on resume

    Jory replied to aknight07's topic in Job Search, Interview, Resume

    The license number is displayed FOR THE PUBLIC to see in my state and all of my neighboring states. You can search for anyone's name and right there it
  8. Jory

    How do you talk to patients with weight issues?

    Jory replied to CrystalSSA's topic in Patient, Colleague Relations

    Uh, that wouldn't exactly be my first choice of wording. I take it you are relatively new. The weight of the patients on both ends of the spectrum is their way of getting control over something....
  9. Jory

    It's Finally Happened!

    Jory replied to Ruby Vee's topic in Patient, Colleague Relations

    This is the approach I would take: 1. Whatever you do, don't print off the items from the website. That is very childish and unless your facility has a policy that she cannot do that (which I would...
  10. Jory

    HIPAA Violation?

    Jory replied to kankuro's topic in HIPAA Challenges

    I'll say it again...I never said that they didn't have a right to know what you are giving them. However. after you explain it to them the first time what the oxycodone is for, if you are practicing...
  11. Jory

    HIPAA Violation?

    Jory replied to kankuro's topic in HIPAA Challenges

    I have never seen two nurses verify any oral narcotic in my career. They may come in and tell the patient what they are bringing, but reviewing it step by step? Never once seen it done. I wasn't...
  12. Jory

    The nurse and patient's family yelled at me. I feel horrible.

    Jory replied to mamacita2's topic in Medical Assistant, CNA/MA

    There are several things you need to address: 1. You need to speak with your manager. No staff member should be bashing another staff member in front of family members..ever. Even if they screw up...
  13. Jory

    Why do teachers think they're all that and we're beneath them?

    Jory replied to Nurse ABC's topic in School

    When I did my ADN program, I had a group of very intelligent, but very nasty, rude, unhelpful instructors. All they talked about was "Me! Me! Me! And oh by the way...did I tell you about...well, ME!"...
  14. Jory

    Should I sign in agreement? Long read, but need advice.

    Jory replied to HeartOfGlass's topic in Nursing Professionalism

    I would be looking for another job. You cannot have more than 5 children to 1 adult in most DAYCARE situations, where everyone is healthy, in the vast majority of states. I am shocked that this is...
  15. Jory

    RN as patient in own hospital

    Jory replied to shazzrn's topic in HIPAA Challenges

    Not sure if your unit is electronic or not, but in most facilities, this is not possible. A patient doesn't have to ask for privacy, employee or not. Yes, I would be 100% ok with my manager losing her...
  16. Jory

    Gastroschisis Post Op

    Jory replied to NeuroRN123's topic in NICU, Neonatal

    Sister....Amen to
  17. Jory

    Gastroschisis Post Op

    Jory replied to NeuroRN123's topic in NICU, Neonatal

    We use a fentanyl drip for 48 hours and then change to Q 4 morphine for 48 more, then it's changed to Q6 for 24 and then PRN. It's important that the baby get assigned to nurses that don't have hang...
  18. Jory

    How do you do double check insulin in an isolation room and scanning?

    Jory replied to tokmom's topic in General Nursing

    I agree with you completely. That is what we do as
  19. Jory

    Am I risking my license?

    Jory replied to anangelsmommy's topic in HIPAA Challenges

    I'll be honest..if they never looked at them with no notes, I would drop it and make them do it. Seriously...I thought that in your OP, you were referring to a protocol for the facility, not...
  20. Jory

    Sterile Gloving Procedure

    Jory replied to Jill2Shay's topic in Nursing Student Assistance

    Sounds like the "not so normal" instructor didn't pay attention to what makes a sterile field. When you fold back the paper to the gloves, EVERYTHING inside is sterile...100%. If you are right handed,...
  21. Jory

    Dr refuse to sign accommodations for NCLEX.

    Jory replied to CrazyCoconut's topic in Nurse Disabilities

    I'll be honest...I don't see how your program allowed you to have accommodations and additional time on tests when you did not have a documented disability. The doctor, is correct. You most likely...
  22. Jory

    RN as patient in own hospital

    Jory replied to shazzrn's topic in HIPAA Challenges

    I wasn't suggesting that she goes straight to the BON, that would obviously be inappropriate. However, the facility could take it that far, if they felt the situation warranted
  23. Jory

    Am I risking my license?

    Jory replied to anangelsmommy's topic in HIPAA Challenges

    You cannot ADMINISTER medications without the following: 1. Verbal order 2. Written order 2. Administered under protocol (which are approved by physicians) You know what these three have in common?...
  24. Jory

    HIPAA Violation?

    Jory replied to kankuro's topic in HIPAA Challenges

    If the patient's have any type of bracelet, it is not necessary to review the medications out loud at
  25. Jory

    False Documentation

    Jory replied to ohionurseltc's topic in HIPAA Challenges

    When I was a new grad, I was asked to rewrite a note because what I wrote was incorrect, but it did accurately reflect the events more accurately, so I did. However, the keyword here it was brought to...